208181 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $732.22
INDIANAPOLIS IN 46241 CHECK NUMBER: 208181
CHECK DATE: 4/24/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 732.22 FOOD BEVERAGES
O 0O
p n
N N 0 N n
(D 0 0 N
N 0 v
I (D 6 0
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0 p a
Monarch Beverage Company, Inc. N Z
Q
World Class Beer, Inc. 0
9347 East Pendleton Pike w co 3 0. 3
Indianapolis, IN 46236 c IDD
(317) 612 -1310 J W m N N
CD
www.monarch- beverage.com 0
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www.worldclassbeer.com cD m D
Permit Numbers 0 3.
c
W49 -08938 W49 -87358 IN -P -1983 m
CL
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04/27/12 02:46PM m c
INVOICE 2483673 CUSTOMER B9924 0
PAYMENT TERMS: COD z
Sold By Mike Knotts
Deliver To Delivered By Trent Idontgomery 0 o
Brookshire olf Club 0
0
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR2903542 N 3
a 0
Permit Info: Beer #RR2903542 Expires on 07/13/12 Cr 0
Wine #RR2903542 Expires on 07/13/12 0 p m (D D
Liquor #RR2903542 Expires on 07/13/12 (D N o Z
Q 0
0 3 2. P r
Deliv Goods [MBC] Item Pack UNet Qty Amount m
m N CD
20610 CB 17.30 10 173.00 0 -0 m
Coors Light 24 Lse Can m
Heineken 12 Can 30975 CB 27.00 5 135.00 (D cD N 0 CD r O
Leinenkugel Shandy 2 /12can 11069 CB 28.00 5 140.00
10110 CB 17.30 10 173.00 0 CD m m C
Lite 24 Lse Can O p C7
Lite Lite L4 Bbl 10180 QK 45.00 1 45.00
30.00DPST 30.00 Q
Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.00 m a
30.00DPST 30.00 z
n Q
Total [MBC] 724.00 32 784.00 rn
m
N
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Total Delivered 724.00 32 784.00 z
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eit k? d- UQ- 1 d'QC2---------------------------------------------------
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Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.00 cD
30.00DPST -60.00 o Q
Total Picked Up [MBC] 0.00 -2 -60.00 0
N
Total Picked Up 0.00 -2 -60.00
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iReceived by: Total Less Deposits 724.00
Total Deposits Collected 60.00
Total Deposits Redeemed -60.00
$724.00 Total Tax 0.00 x4.
Invoice Total 724.00
Payment 732.22
Credit -8.22 e y
Payment breakdown
Check #7 $732.22
Delivery discrepancies on this order Item Pack Ordered Shipped:.
New Belg Fat Tire 2/12pk 12oz CAN 40215 CB 5 0
Return discrepancies on this order
Misc $30 Empty Keg Return 31164 RE 0 2
a
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
VOUCHER NO. WARRANT NO,
Mc)narch Beverage Inc. ALLOWED
IN SUM OF 20
9347 E. Penleton Pike
Indianapolis, IN 4 6236 -0000
$724.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
p0 Dept. INVOICE NO. ACCT #/TITLE AMOUN�T
1207 2483673 _39 4 20.40
I $724.00 Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are) true a
nd correct and that the
materials or services itemized ed thereon for
VVV which charge ll„ g Is made were ordered and
received except
Monday, y April 30, 2012
i
Director, Br shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
v�
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$724.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. J ACCT #/TITLE AMOUNT
Board Members
1207 I 24836� 4 2.3.90.40 I $724.00 1 hereby certify that the attached invoice(s), or
lti bill(s) is (are) true and correct and that the
materials or services itemized thereon for
Ui
which charge is made were ordered and
IN
received except
Monday, April 30, 2012
i
Director, Br shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/27/12 2483673 Beer $724.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer